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乳糖不耐受和吸收不良的复习:探索影响和解决方案
Ana Isabel Borralho1, Pedro Marcos2,3
1Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal.
GE Portuguese journal of gastroenterology
|May 28, 2025
概括
乳糖不耐症 (LI) 是一种常见的消化问题,影响全球健康. 诊断通常使用气呼吸测试 (HBT),低乳糖饮食通常耐受良好,并且有效控制症状.
科学领域:
- 胃肠病学 胃肠病学
- 消化系统健康 消化系统健康
- 临床营养学 临床营养学
背景情况:
- 乳糖不耐症 (LI) 是一种普遍存在的消化系统疾病,具有重大的全球影响.
- 尽管LI很常见,但经常被忽视,缺乏标准化的诊断和管理指南.
- 本综述涉及LI的临床特征,诊断方法和管理策略.
研究的目的:
- 为了提供对乳糖不耐症的全面概述.
- 专注于临床特征,诊断评估和管理策略.
- 综合目前关于LI诊断和管理的文献.
主要方法:
- 2013年至2023年间在PubMed.com上发表的研究文献综述.
- 优先考虑系统审查,元分析,RCT,病例控制,队列研究和专家审查.
- 对LI的诊断测试和饮食和补充管理方法的分析.
主要成果:
- 气呼吸试验 (HBT) 是最有效的LI诊断方法,辅以症状评估.
- 低乳糖饮食,允许每天摄入12-15克乳糖,对于大多数人来说是耐受性良好且有益的.
- 虽然益生菌,益生菌和植物饮料可以提供支持,但它们在LI管理中的有效性需要进一步证明.
结论:
- 有效的LI诊断依赖于HBT和临床评估.
- 饮食修改,特别是低乳糖饮食,是主要和有效的管理策略.
- 需要进一步的研究来验证益生菌,益生菌和替代饮料在LI管理中的作用.
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